BgZ CDA Implementation Guide

1 Introduction

TODO

2 Actors involved

Persons		Systems
Name	Description	Name	Description
Referring medical specialist	Medical specialist who sends a BgZ along with a referral	EHR	Electronic health record
Receiving medical specialist	Medical specialist receives a BgZ along with a referral	EHR	Electronic health record

5 CDA templates

Section	Titel	Title	CDA Template
0	BgZ		Template CDA Basisgegevensset Zorg 2017 (BgZ)
1. Demografie en identificatie		Demographics and identification
	Patient	Patient
2. Financiële informatie		Financial information
	Betaler	Payer
3	BehandelAanwijzing	TreatmentDirective	http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective
	Wilsverklaring	AdvanceDirective	http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective
4	Contactpersoon	ContactPerson	http://fhir.nl/fhir/StructureDefinition/nl-core-patient
5	Funct. OfMentaleStatus	FunctionalOrMentalStatus	http://nictiz.nl/fhir/StructureDefinition/zib-FunctionalOrMentalStatus
6	Probleem	Problem	http://nictiz.nl/fhir/StructureDefinition/zib-Problem
7	Woonsituatie	LivingSituation	http://nictiz.nl/fhir/StructureDefinition/zib-LivingSituation
	DrugsGebruik	DrugUse	http://nictiz.nl/fhir/StructureDefinition/zib-DrugUse
	AlcoholGebruik	AlcoholUse	http://nictiz.nl/fhir/StructureDefinition/zib-AlcoholUse
	TabakGebruik	TobaccoUse	http://nictiz.nl/fhir/StructureDefinition/zib-TobaccoUse
	Voedingsadvies	NutritionAdvice	http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice
8	Alert	Alert	http://nictiz.nl/fhir/StructureDefinition/zib-Alert
9	AllergieIntolerantie	AllergyIntolerance	http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance
10	MedicatieGebruik2	MedicationUse2	http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse
	Medicatieafspraak	MedicationAgreement	http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement
	Toedieningsafspraak	AdministrationAgreement	http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement
11	MedischHulpmiddel	MedicalDevice	http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct
12	Vaccinatie	Vaccination	http://nictiz.nl/fhir/StructureDefinition/zib-Vaccination
13	Bloeddruk	BloodPressure	http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure
	LichaamsGewicht	BodyWeight	http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight
	LichaamsLengte	BodyHeight	http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight
14	LaboratoriumUitslag	LaboratoryTestResult	http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation
			http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen
15	Verrichting	Procedure	http://nictiz.nl/fhir/StructureDefinition/zib-Procedure
16	Contact	Encounter	http://nictiz.nl/fhir/StructureDefinition/zib-Encounter
17	OverdrachtGeplandeZorgActiviteit	PlannedCareActivityForTransfer	http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest
			http://nictiz.nl/fhir/StructureDefinition/zib-VaccinationRecommendation
			http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceRequest
			http://nictiz.nl/fhir/StructureDefinition/eAfspraak-Appointment
18	Zorgverlener	HealthProfessional	http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner
	Zorgaanbieder	HealthcareProvider	http://fhir.nl/fhir/StructureDefinition/nl-core-organization